Provider Demographics
NPI:1811032006
Name:HIGGINS, LAWRENCE ANTHONY (DO MPH)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ANTHONY
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:DO MPH
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Mailing Address - Street 1:344 WEST 23RD STREET
Mailing Address - Street 2:PENTHOUSE B
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-627-0737
Mailing Address - Fax:212-633-6744
Practice Address - Street 1:251 WEST 19TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-741-2330
Practice Address - Fax:212-366-0681
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2010-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY156116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A60695Medicare UPIN